Preliminary results of laser ablation of the prostate versus TURP: a randomized study

Brian S. Shaffer; Anthony J. Costello

doi:10.1117/12.146220

28 May 1993 Preliminary results of laser ablation of the prostate versus TURP: a randomized study

Brian S. Shaffer, Anthony J. Costello

Proceedings Volume 1879, Lasers in Urology, Gynecology, and General Surgery; (1993) https://doi.org/10.1117/12.146220
Event: OE/LASE'93: Optics, Electro-Optics, and Laser Applications in Scienceand Engineering, 1993, Los Angeles, CA, United States

Abstract

Preliminary results of a randomized study comparing laser ablation of the prostate (LAP) to transurethral resection of the prostate (TURP) for the treatment of symptomatic benign prostatic hyperplasia are reviewed. Forty-five men enrolled in the study had a minimum 6 week followup. Preoperative AUA symptom scores, peak urinary flow rates, and post-void residual urines (PVR) were compared to postoperative values. The TURP group (22 men) did better than its LAP cohort (23 men) with a mean decrease in symptom score of 70% versus 47%, a mean increase in flow rate of 83% versus 53%, and a mean decrease in PVR of 51% versus 28%, respectively, at 12 weeks. LAP patients had less complications associated with impotence and retrograde ejaculation, required urethral catheters for less time, and had shorter hospital stays. With the development of more durable and reflective fibers the difference in efficacy between TURP and LAP should diminish while the benefits of LAP are preserved.

Citation Download Citation

Brian S. Shaffer and Anthony J. Costello "Preliminary results of laser ablation of the prostate versus TURP: a randomized study", Proc. SPIE 1879, Lasers in Urology, Gynecology, and General Surgery, (28 May 1993); https://doi.org/10.1117/12.146220

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